Healthcare Provider Details

I. General information

NPI: 1548782618
Provider Name (Legal Business Name): ELIZABETH ANN OLIVO DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 12/14/2021
Certification Date: 12/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1844 BROADWATER AVE STE 4
BILLINGS MT
59102-4875
US

IV. Provider business mailing address

713 BEVERLY HILL BLVD
BILLINGS MT
59102-2545
US

V. Phone/Fax

Practice location:
  • Phone: 406-656-9980
  • Fax:
Mailing address:
  • Phone: 406-860-8382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-APRN-LIC-126564
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNUR-APRN-LIC-12654
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: